Individual provider Active NPI

Alison Gorin, NP

  • Adult Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1659848604
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
202685 Issued in MD
Practice address
1615B Piccard Dr # B
Rockville, MD 20850-6698
Phone
(240) 449-3094
NPI assigned
Oct 29, 2018
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2323583 MA
Adult Health Nurse Practitioner 363LA2200X 202685 MD Primary

Addresses

Primary practice location

1615B Piccard Dr # B
Rockville, MD 20850-6698

Mailing address

1615B Piccard Dr # B
Rockville, MD 20850-6698
Phone (240) 449-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211013000651 DC Practitioner - Nurse Practitioner 2961800586 Reassigns benefits to 1 organization
I20230918000753 MD Practitioner - Nurse Practitioner 2961800586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2323583MAMDAdult Health Nurse Practitioner
202685MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apostle Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Apostle Group LLC CurrentSince Oct 1, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 28, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 28, 2023 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

1615 Piccard Dr
Ste B
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: agorin1031961@direct.umm.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1659848604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615B PICCARD DR # B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506698",
            "telephone_number": "240-449-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615B PICCARD DR # B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506698",
            "telephone_number": "240-449-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIN",
        "first_name": "ALISON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "2323583",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "202685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.